|
Bronchial challenge
|
$295.20 |
$295.20 |
$295.20 |
$765.50
|
|
Bronchoscopy w/fb removal 31635
|
$2,100.60 |
$2,100.60 |
$2,100.60 |
$2,624.16
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$16.88 |
$16.88 |
$16.88 |
$24.71
|
|
Bundled special stain group 1 microorganisms
|
$64.80 |
$64.80 |
$64.80 |
$161.46
|
|
Bundled special stain group 2
|
$157.50 |
$157.50 |
$157.50 |
$170.65
|
|
Buprenorphine oral 1mg
|
$18.21 |
$18.21 |
$18.21 |
$10.74
|
|
Busulfan injection
|
$624.44 |
$624.44 |
$624.44 |
$783.10
|
|
Bx of breast open 19101
|
$2,938.05 |
$2,938.05 |
$2,938.05 |
$4,745.50
|
|
Bx perianal mass
|
$490.05 |
$490.05 |
$490.05 |
$1,537.44
|
|
Bx skin punch ea sep/ addl les
|
$85.95 |
$85.95 |
$85.95 |
$231.10
|
|
Bx skin tangential ea sep/ addl les
|
$160.20 |
$160.20 |
$160.20 |
$206.55
|
|
Bypass temp external fem-fem
|
$685.35 |
$685.35 |
$685.35 |
$2,056.80
|
|
C1 esterase inhibitor func - sendout
|
$56.25 |
$56.25 |
$56.25 |
$84.60
|
|
Cabergoline, oral 0.25mg
|
$3.04 |
$3.04 |
$3.04 |
$65.85
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,873.33 |
$1,873.33 |
$1,873.33 |
$2,210.98
|
|
Calcium 24 hour urine
|
$73.35 |
$73.35 |
$73.35 |
$52.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$120.15 |
$120.15 |
$120.15 |
$65.00
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$56.36 |
$56.36 |
$56.36 |
$92.91
|
|
Calcium ionized
|
$55.80 |
$55.80 |
$55.80 |
$88.00
|
|
Calcium total
|
$27.00 |
$27.00 |
$27.00 |
$50.00
|
|
Calprotectin fecal
|
$123.75 |
$123.75 |
$123.75 |
$166.25
|
|
Cannabinoids synthetic 4-6
|
$150.75 |
$150.75 |
$150.75 |
$18.40
|
|
Canthotomy 67715
|
$2,968.65 |
$2,968.65 |
$2,968.65 |
$2,956.50
|
|
Capecitabine, oral, 50 mg
|
$18.28 |
$18.28 |
$18.28 |
$50.86
|
|
Carbamazepine free
|
$18.90 |
$18.90 |
$18.90 |
$50.88
|
|
Carbamazepine free -sendout
|
$34.65 |
$34.65 |
$34.65 |
$45.00
|
|
Carbamazepine total therapeutic drug level
|
$76.50 |
$76.50 |
$76.50 |
$117.74
|
|
Carbon dioxide
|
$23.85 |
$23.85 |
$23.85 |
$44.82
|
|
Carboxyhemoglobin quantitative
|
$45.45 |
$45.45 |
$45.45 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$94.50 |
$94.50 |
$94.50 |
$142.50
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,115.10 |
$1,115.10 |
$1,115.10 |
$2,664.44
|
|
Cardiolipin antibody iga
|
$117.00 |
$117.00 |
$117.00 |
$105.30
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$326.25 |
$326.25 |
$326.25 |
$1,461.75
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$70.20 |
$70.20 |
$70.20 |
$114.45
|
|
Caregiver training strategies&tq ea addl 15 min
|
$35.10 |
$35.10 |
$35.10 |
$53.90
|
|
Carmustine 100 mg intravenous powder for solution
|
$936.67 |
$936.67 |
$936.67 |
$1,582.20
|
|
Carotene
|
$39.15 |
$39.15 |
$39.15 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$292.95 |
$292.95 |
$292.95 |
$1,036.00
|
|
Casiri and imdev repeat
|
$683.10 |
$683.10 |
$683.10 |
$540.00
|
|
Cauterization chemical granulation tissue
|
$288.00 |
$288.00 |
$288.00 |
$351.78
|
|
Cell count body fluid
|
$45.90 |
$45.90 |
$45.90 |
$63.63
|
|
Cell count w differential body fluid
|
$84.15 |
$84.15 |
$84.15 |
$92.56
|
|
Cell enumeration & id
|
$387.45 |
$387.45 |
$387.45 |
$542.40
|
|
Cell function assay w/stim
|
$262.80 |
$262.80 |
$262.80 |
$314.25
|
|
Cell marker study
|
$79.65 |
$79.65 |
$79.65 |
$239.85
|
|
Cftr gene dup/delet variants
|
$660.15 |
$660.15 |
$660.15 |
$849.00
|
|
Change cystostomy tube simple
|
$187.20 |
$187.20 |
$187.20 |
$473.00
|
|
Change g-tube to g-j perc
|
$1,287.90 |
$1,287.90 |
$1,287.90 |
$2,206.00
|
|
Change of windpipe airway 31502
|
$198.90 |
$198.90 |
$198.90 |
$412.00
|
|
Chest 2 vws w oblique
|
$142.20 |
$142.20 |
$142.20 |
$385.71
|
|
Chest apical lordotic proj
|
$213.30 |
$213.30 |
$213.30 |
$316.68
|
|
Chest CT scan (with and without contrast)
|
$900.45 |
$900.45 |
$900.45 |
$2,014.50
|
|
Chest CT scan (with contrast)
|
$947.70 |
$947.70 |
$947.70 |
$1,697.25
|
|
Chest CT scan (without contrast)
|
$829.35 |
$829.35 |
$829.35 |
$1,372.50
|
|
Chest X-ray
|
$127.35 |
$127.35 |
$127.35 |
$301.23
|
|
Chest X-ray (single view)
|
$106.20 |
$106.20 |
$106.20 |
$246.94
|
|
Chloride
|
$23.40 |
$23.40 |
$23.40 |
$39.65
|
|
Chloride 24 hour urine
|
$25.20 |
$25.20 |
$25.20 |
$46.75
|
|
Chloroprocaine hcl injection
|
$62.91 |
$62.91 |
$62.91 |
$58.69
|
|
Cholesterol
|
$45.90 |
$45.90 |
$45.90 |
$46.15
|
|
Cholesterol body fluid
|
$84.15 |
$84.15 |
$84.15 |
$73.83
|
|
Cholesterol (Lipid) Test
|
$74.70 |
$74.70 |
$74.70 |
$115.70
|
|
Cholinesterase
|
$10.80 |
$10.80 |
$10.80 |
$40.80
|
|
Chromatography
|
$109.35 |
$109.35 |
$109.35 |
$79.00
|
|
Chromosome karyotype study
|
$109.80 |
$109.80 |
$109.80 |
$112.50
|
|
Cidofovir injection
|
$914.94 |
$914.94 |
$914.94 |
$1,295.73
|
|
Cinacalcet 30 mg tablet
|
$35.70 |
$35.70 |
$35.70 |
$40.01
|
|
Ciprofloxacin otic susp 6 mg
|
$4.27 |
$4.27 |
$4.27 |
$47.27
|
|
Circumcision (newborn)
|
$1,182.15 |
$1,182.15 |
$1,182.15 |
$1,422.04
|
|
C-kit mutation liquid tumor - sendout
|
$234.45 |
$234.45 |
$234.45 |
$659.20
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$437.12 |
$437.12 |
$437.12 |
$572.12
|
|
Clearance of airways
|
$89.55 |
$89.55 |
$89.55 |
$208.00
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$71.89 |
$71.89 |
$71.89 |
$55.20
|
|
Clofarabine 1 mg/ml intravenous solution
|
$3,163.19 |
$3,163.19 |
$3,163.19 |
$4,784.71
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$135.90 |
$135.90 |
$135.90 |
$535.76
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$871.20 |
$871.20 |
$871.20 |
$1,815.75
|
|
Closed tx/acetabululm without manip 27220
|
$509.40 |
$509.40 |
$509.40 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$752.40 |
$752.40 |
$752.40 |
$2,291.20
|
|
Closed tx humerus fx without manip 23600
|
$125.55 |
$125.55 |
$125.55 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$871.20 |
$871.20 |
$871.20 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$130.50 |
$130.50 |
$130.50 |
$402.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,705.50 |
$1,705.50 |
$1,705.50 |
$2,621.64
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$183.15 |
$183.15 |
$183.15 |
$498.00
|
|
Clos txnose fx without stablz 21315
|
$1,235.70 |
$1,235.70 |
$1,235.70 |
$2,453.60
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$296.10 |
$296.10 |
$296.10 |
$1,259.62
|
|
Clot factor xiii fibrin scrn
|
$123.75 |
$123.75 |
$123.75 |
$51.91
|
|
Clot factor xiii fibrin stab
|
$170.55 |
$170.55 |
$170.55 |
$97.20
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$307.80 |
$307.80 |
$307.80 |
$700.00
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$188.10 |
$188.10 |
$188.10 |
$509.60
|
|
Clsd tx/clavicular fx without manip 23500
|
$96.75 |
$96.75 |
$96.75 |
$452.40
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$152.55 |
$152.55 |
$152.55 |
$426.82
|
|
Clsd tx dist fib fx w/manip 27788
|
$135.90 |
$135.90 |
$135.90 |
$691.60
|
|
Clsd tx elbow dislocation child 24640
|
$125.55 |
$125.55 |
$125.55 |
$507.20
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,027.80 |
$1,027.80 |
$1,027.80 |
$2,329.60
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$135.90 |
$135.90 |
$135.90 |
$480.48
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$355.05 |
$355.05 |
$355.05 |
$551.20
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$871.20 |
$871.20 |
$871.20 |
$1,776.04
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$871.20 |
$871.20 |
$871.20 |
$1,668.00
|
|
Clsd tx hip disloc without anes 27265
|
$135.90 |
$135.90 |
$135.90 |
$665.60
|
|
Clsd tx humerus fract without manip 24500
|
$372.60 |
$372.60 |
$372.60 |
$520.80
|
